49D2276614 CLIA NUMBER - ESRH EXPRESS CARE

Laboratory Demographics

CLIA Number: 49D2276614

Facility Name: ESRH EXPRESS CARE

Facility Address:
25228 LANKFORD HWY
ONLEY, VA
ZIP 23418
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Facility Phone Number: 757 787-1465

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1649987058

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D2276614
LAB Type	Federally Qualified Health Center
Facility Name	ESRH EXPRESS CARE
Street	25228 LANKFORD HWY
City	ONLEY
State	VA
ZIP	23418
Phone	757 787-1465
CertificateType	3
CertificateEffectiveDate	2/13/2023
CertificateExpirationDate	2/12/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024